Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon syndrome is a rare condition of unknown etiology in which intestinal obstruction results from encasement variable lengths bowel by dense fibrocollagenous membrane. It difficult to diagnose and the prognosis poor. We report case SEP after living donor liver transplantation (LDLT) that was required surgical treatment. A 57-year-old m...

Ascites is one of the most common complications of cirrhosis and has a one year mortality of up to 50%. For fluid to accumulate in any clinical situation the amount of sodium ingested must exceed that excreted by the kidneys and the virtual absence of sodium from the urine of ascitic patients was first documented by Farnsworth and Krakusin in 1948.' Five years later Chart and Shipley showed suc...

1. Apply results from clinical studies and guidelines to the management of hepatic encephalopathy. 2. Design evidence-based treatment and prevention regimens for patients with ascites or complications of ascites such as spontaneous bacterial peritonitis and hepatorenal syndrome. 3. Given recent guidelines on the management of portal hypertension, justify the need for primary and secondary proph...

A 54-year-old woman with long-lasting pleural effusion developed abdominal distention due to ascites from bilateral ovarian tumors. The patient had undergone breast-conserving surgery and axillary lymph node dissection for left breast cancer in October 2000, and had developed left pleural effusion in July 2006. Cytological examination of the pleural effusion found no malignant cells. Thoracic d...

Ovarian hyperstimulation syndrome (OHSS) is a known complication of using ovulation induction drugs in assisted reproductive techniques. Its incidence and severity vary. Tuberculosis is a very common disease in the developing world, and ascites is one of its sequelae. The newer aids in diagnosing tuberculosis include measuring levels of Adenosine DeAminase (ADA) in the third-space fluids or ser...

A 56-year-old man was diagnosed with aplastic anemia and paroxysmal nocturnal hemoglobinuria at 43 years of age and treatment with cyclosporin A was started. Liver cirrhosis, ascites, and thrombus in the hepatic veins were found at 56 years of age and Budd-Chiari syndrome (BCS) was diagnosed according to angiography findings. He was treated with diuretics and paracentesis was performed several ...

Background: Hepatorenal syndrome is a part of the prerenal acute kidney injury (AKI) characterized by dysfunction which secondary to decreased renal blood flow that occurs in liver cirrhosis with portal hypertension and fatal complication. (HRS) about 20% patients refractory ascites.Method: This study was conducted on 24 ascites who visited Gastroenterohepatology Outpatient Ward Internal Medici...

The case documented here represents the longest course of continuous-flow peritoneal dialysis (PD) reported in the literature. A 61-year-old man with hepatorenal syndrome type 1 and ascites presented with hypotension and bright red blood per rectum and was found to be in acute renal failure with severe anemia. Continuous-flow PD was initiated, and the patient improved clinically. The patient di...

Nephrogenic ascites is a condition characterized by the presence of massive ascites in a patient with ESRD. Neither the exact cause nor the pathogenesis of ascites formation is clearly understood. Patients frequently present with hypertension, moderate to massive ascites, minimal extremity edema, cachexia, and a history of dialysis-associated hypotension. The ascitic fluid is typically an exuda...